Provider Demographics
NPI:1275523359
Name:XAVIER, RAMNIK JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:RAMNIK
Middle Name:JOSEPH
Last Name:XAVIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BLK 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-6007
Practice Address - Fax:617-724-6832
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2011-10-20
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Provider Licenses
StateLicense IDTaxonomies
MA74506207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ30259OtherBCBS MA
MA726472OtherTUFTS HEALTH PLAN
MA3115011Medicaid
MAJ30259OtherBCBS MA
MA726472OtherTUFTS HEALTH PLAN